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034-1036-40-000
C) 0 64 W 0 z 0 Z O x ;5 LO - 0 co z w z E 1 4.; 0 CD (L w H 0 z (D 0 0 0 4- C) N m m 0 01 < < z z 0 0 C) z Z 00 0 0 IL < E U) 0) U) Z 0 0 0 0 m m a. FL m Z.; CT A? o 0 ) ( CD a) U) i C, 0 Uj 0 0) CO '0 0 N 0 d o 0 0 E C) co c < A U) co 0 -6 r U) 0 :r;- 1 CD U) C 0) 0 C D E O co N C" � N m 0 (D Ly > C\ ! 32 w 0 a 2 m (D �le M co 0) o r- ' r- C-4 C:! M CL 0 Lo 0 U) 00 m z 2 -5 (n 41 r - o it I s o ti► Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division County: St. Croix INSPECTION REPORT y` GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Pi�.r I Vq.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 11 �i Permit Holder's Name: ❑City ❑ Villa�e ❑ w State Bonte, Kevin prin �'ie�'c)"�Iownsh' Plan ID No.: aga I - + CST BM Elev - - - Insp. BM Elev.: BM Description: u Parcel Tax No. . M O . p' '/ 4 —_ c l Gm pending TANK INFORMATION ELEVATION DATA �„ zs ><�Za Arm i3Q TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �� Benchmark js Ir�S,3 ( tTO.p Dosing t' a✓Qs� O' 02•`� Aeration Bldg. Sewer 2'-P qb Holding St /Ht Inlet , 32 X 0 .5 3 y . 8z' TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air i to ntake ROAD Dt Inlet Air Septic > l5 3 NA Dt Bottom Dosing } 1 C�v ' %A " z NA Header / Man. .� Aeration NA Dist. Pipe {" fo `db .c fs Holding Bot. System S. G ,-s PUMP/ SIP N INFORMATION Final Grade tt L Manufacturer Demand St cover } �3 / Model Number /3 w e GPM TDH Lift 9 Lrictionf System2 TDH rl He `l � Forcemain Length Dia. Dist.ToWell (59 SOIL ABSORPTION SYSTEM I q DEB TRENCH Width Length , No. Of Tenches PIT No. Of Pits Inside Dia. Liquid Depth DIME N G' z5 2 0 ( DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING acturer: INFORMATION Type 0 I CHAMBER System: �G ,>(tM 150 , OR UNIT M Number; DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Z Y h Length � r , Dia. Spacing 3 b SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only ti � Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center , 2 k Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: `Include code discrepancies, persons r en# c nsnection II cm nspec ion / Location: 2963 County Road E, G1�wood City, 54b (NW 1/4 NE 1/4 16 T29N R1 5W) - 16.29.15. -Lot 1 1.) Alt BM Description = kAw 2.) Bldg sewer length= M b Z' C SZ •f - I o' - amount of cover = 18"+- a) �- C111ktss'� S t� --44,30 �... `� - © Is - zoo) Plan re)S re uirdff?' Yes No 4 ❑ 1 _ Z Use �rer s� i�d� ct Midi L . info - I ✓' a , SBD 67 (R.3/97) - 1 d j pW — ,�, -� 'l•L a � �� 7 pect�or�s�Signature, e a ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E � s ` � e 6 a r .,_.�...... ,.. .5..e.,... ... w. .— ..P .....m .. �.... a ,e ._..a .< �.. e ».. .. _ t a a. e t e _ P w e.P t x { 3 j f y 4 f 9 e ; a � i e �. — --- _ ..... a � s 3 E s x a � t 7 E e a e � � � a L s f 3 k I a £ 7j y �:... F ... gym.. .. � ,,.#.. ... _. .a:......... F ( ] e e .. J.. 7 a 'q a } 55r ` t � € S p .® 4 ��� .. ...� a _. _ 1 �_ m . wm,. — f . 3 _ � Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 2 1 Box Washington Avenue In accord with ILHR 83.05, Wis. Adm. Code a Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper n9jj&ss County /� than 8 vi x 11 inches in size. " ! C. - - Di ` -ta • See reverse side for instructions for completing this application t anitaryPermitNumber ✓` , 3�33 Personal information you provide may be used for secondary purposes `;1` ; eI Q Checle if evision to pr@vious application [Privacy Law, s. 15.04 (1) (m)). = b 1. 206 �,, ��( State Plan LD. Number I. APPLICATION INF RMATI N -PLEASE PRINT ALL ORMATION> 3n .297i� P% Owner N e Propert Locati tJ 1/4 �, S Ti Z9 , N, R >I°(er) W Propert Owner's Mailing Address Lot Nu Block Number GNU rfce. City State Zip Code Phone Number Sbkdwy i4rrN orgrq, ber e 0 C o- I 3 10 II. YPE BUILD : (check one) ❑ State Owned ity / Nearest Road Public or 2 Family Dwelling - No. of bedrooms 3 U vl wn of r;n ts III BUILDING USE (If building type is public, check all that apply) Parcel Tax Num p er(s) fa p "�' 1 E] Apartment/ Condo D�' 03 — 3(e - SyO —cam 2 ❑ Assembly Hall 6 ❑ Medical,Facility/ Nursing Ho a 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 2 "ew 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ______System ________ System - __ Tank Only______________ Existing System _________ExistingSystem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 2<pecify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit ,46 - G rade 43 ❑ Vault Privy 14 ❑ System -In -Fill ZS jC VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 12. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade p uired (sq. ft.) Proposed (sq. ft.) als/day /sq. ft.) in. /inch) vation �s� ?� 7SD 7 SFeet /O /• SfFeet acct VII TANK in cap llo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks ptic Ta ef++ofding Tank — / LXO LLJi e $E/' C . ❑ ❑ ❑ ❑ ❑ I Pump Ta er (p� '� Gw d, ❑ - 1 11 1:1 ❑ SPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb' Si nature o St s MP /MPRSW No.: Business Phone Number: s 3 Mo rr'r (7 /!! - 9a Plumber's Add ess J (Street, ty, State, Z' Code):: / /0 70 ee./fTCr i /Y�� C.✓ S /�v IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) ] Approved ❑ Owner Given Initial surcharge Fee) Adverse Determination 3'2j. 0 ZL V a, X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBp- 6398 (11.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit,issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line 6 if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11. inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; . elevation differences; friction loss; pump performance curve; pump-model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ----------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards_ l M J-0 - RESIDENTIAL AT -GRADE DESIGN Pressurized - Level Site INDEX AND TITLE SHEET Project Kevin Bonte 3 bedroom residential At -Grade system modifications Owner Kevin Bonte Address 731 Syme Ave. Glenwood City, WI 54013 Legal Description NW1/4NE1 /4, S16,T.29N.,R18W. Township Springfield County St. Croix Subdivision Name CSM Vol. 14, Pg. 3801 Lot No. 1 Parcel ID Number Pending issuance - Part of 034 - 10 -40 -000 Plan Transaction Number 252974 Index sheet Page 1 At -grade calculations Page 2 At -grade drawings Page 3 Pressure dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump cap acity curve #### Site plan Page 7 Attached: Soil Evaluation Report Page 8 App. For use of an At -grade syste #### Designer Mike McDonell License Number 225036 Signature Phone Number 715- 386 -8692 Date April 11, 2000 Notice: Tampering with this file by unauthorized persons Is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secmlary purposes [Privacy Law, s.15.04 (1)(m)J. SBD- 10464 -E (R.05M) Page 1 of 8 PRESSURIZED AT -GRADE DESIGN At -grade Calculations - Level Site Complete information in red framed boxes as necessary. 1000 gpd maximum. Sizing and site data entry. Inch - pounds Metric Residential or commercial r (r or c) Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 44.0 in 111.8 cm In situ soil infiltration rate 0.6 gPdW 24.4 L/m` Linear loading rate 6.0 gpd/ft 74.4 Lpd/m Contour elevation below lateral 99.75 ft 30.40 m Slope 0.0 Pressure distribution data entry. 0.126, 0.156, 0.188, Center or end connect c (c or e) Hole diameter 0.250 0.219, 0.25, 0.281, or Pump tank elevation 89.7i ft Outside 0.313 inch only. Lateral spacing 0.00 ft use 0 for single laterals. Forcemain length 120.0 ft Estimated hole space 3.00 ft Not a final calculation. Forcemain diameter 2.0 in Minimum dose is > 5.0 times lat. void vol. Forcemain actual I.D. 2.067 in System solutions. Absorption cell inch- ounds Metric Estimated daily wastewater flow 450.0 gpd 1703.3 Lpd Design load rate & area 0.6 gPd* 750.0 ft ___ 69.68 2 Minimum basal absorption area required 750.0 fl? 69.68 m Actual linear loading rate 3.75 gpd/ft 46.5 Lpd/m Proposed effective absorption width (A) 1 6.25 ft 1 1.911M Maximum effective width permitted 10.00 ft 3.05 m Aggregate width including support (A) 6.25 ft 1 - 19 -- il m Aggregate length (B) r 1 ft 1 36.58 m Supporting components Perimeter fill beyond aggregate (D) 5.00 ft 1.52 m HOLE DIAMETER Total at -grade width (W) 16.25 ft 4.95 m co8vE o 125 s T at -grade length (L) 130.00 ft 39.62 m 5x32 = 0.156 3/16=0.188 Observation pipe spacing 1/6 B 20.0 ft I 6.101m 7/32 = 0.219 Observation pipe spacing 1/2 B 60.0 ft 1829 m 1/4 =0.25 9/32 = 0.281 5/16 = 0.313 Minimum topsoil cover depth 6.0 in 15.2 cm Minimum soil cover at center 12.0 in 30.5 cm Project: Kevin Bonte 3 bedroom residential At -Grade system modifications Transaction Number: 252974 Page 2 of 8 TDH and Pump Tank Drawing Total dynamic head Operational head 2.50 ft 0.76 m Vertical lift 9.30 ft 2.83 m Are laterals the highest pant in the Friction loss 4.20 ft 1.28 m system? Yes "x' here. L = Total dynamic head 16.00 ft 4.88 m If no, what is the highest elevation (ft) Dose Volume downstream of pump? Lateral void volume 20.4 gal 77.2 L Does forcemain Minimum dose 112.5 gal 425.9 L drain back to x Yes Drain back 20.9 gal 79.1 L tank? (xone) No Dose volume 133.4 gal 505.0 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof �- warning label and locking device grade levels junction box grade levels outlet y disconnect altern electric as per NEC 300 and to 4" vent pipe Comm 16.28 WAC ` �- outlet location 18" (46 cm) min. approved wall of pump �- outlet joint chamber or combination tank A Provide 1/4" weep hale or anti - alarm on siphon device as necessary pump on B C Grade levels PUMP 90.95 ft - pump tank manhole = 4!'(10 cm) Off elev. 27.72 m minumum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 89.78 Ift Pump tank elevation 3 " (75 mm) of bedding under tank 27.36 1 m Bottom at tank Tank manufacturer Wieser Concrete 1,0001600 gal. Combination Pump tank capacity 11.82 gal /in Pump tank volume 602 gal Inches Gallons Pump manufacturer JZoeller c A 26.6 315.0 Pump model number M' B 2.0 23.6 C 11.3 133.4 Alarm manufacturer LevelArm p D 11.0 130.0 Alarm model number JDLV Project: Kevin Bonte 3 bedroom residential At -Grade system modifications Transaction Number: 252974 Page 5 of 8 HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEADICAPACITY PER MINUTE N L W t S3•SS F } SERIES 41 48 3139 f1 177 -179 1WN110 16101101 16301167 16504165 tISNI S 11601116 1W11Q 16!01119 1f1 LL FT. M. Gal. LK Gal. Um. Gal. Lim GN. Um . Gal. lts GN. lef GN. lYS Gal. Lim Gal. t1m Gal. UM Gal. Um Gal. Um Gal. lit. Gal. Lh 1 4 S .1.51 105 a.: 21 116 A 113 72 273 U ,352 f1 756 f0610f 61 23t 61 271 51 220 155 K) 155 .511' IS 111 "r 42 10 1A6 172 So 23 It 34 129 61 231 79 '300 M 341 100 376 61 231 61 201 50 120 111 160 1St 012 43 1116 1 15 4 - 1.9 N 15 01 11 72 45 174 64 141 13 : 114 11 60 ny 60 327 54 2M 111 4 ) 115 IS t� i 20 6.10 2.3 0 7 11 25 13 76 136 77 216: 12 310 S9 : 227 i0 211 SI 220 176 StS 110 530.'.' IS 111 40 1 3 IS r A2 1 10 p 131 7I 1b SI 211 59 223 U Us 111 414' 133 503r /S 171 10 1.14 53 2e1 '. 65 746 35 :100 se 220 90 340 se 220 101 127 411.. 15 lip! 40 :1111 ,. 30 114 46 1T4 . 46 112 IS Mi IS IS) So 270 105 397-: 114 411. IS 171 38- 125-- SO IS2A 21 $0 33 125 51 111 51 M 51 220 f0 341;1 100 319 4S 1r1i K Ulf 15 $1 ' 43 161. 36 136 so - 220 71 201 :1 IS 32 .< I3 1115 12 70 2144 30 '' 111 10 21 $2 197 51 191 1 10 AS 43 470 36 191 K zIx 11 S3 a 120 21 Jos, 54 204 € u 111: 1 1 !0 21A3 - - 71 121 1 1 37 114 ". 4S 111 ; t00 M ' µ 1a K 21 19 - K tat 34 no 'alao 7 Is 6 31 30 411 110 120 36,51 ; M Ji 32 11 ri 105 13 s9.0 Loch Wlae: 21.4' 21' 1925' 27' 26' or 7)' 115' 91' 117 ur 100 30 95 28 90 186, 26 4186 85 165, 24- 80 4165 75 0 22 L 70 x O 20 M 65 z 0 18 60 163, 4163 189. J O 55 4189 0 16 50 14 45 12 40 140, 188, 35 4140 4188 10 30 137, 185, 8 25 139 4185 6 20 T,—.0. 4 15 10 2 5 43 48 3, 5 57,59 98 41 0 U.S. GALLONS 10 20 30 401 50 6 70 80 90 100 1110 120 130 140 1150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922 '14 60 4 .f. n?a'r1. r e� o% St,L,1 ly rg-6e Note: For Head Capacity on Molel 112, industrial column - explosion pr000f pump, see FMO219. - � • �� �� �� ��ermanerrE ib, M.: To of ft�. P pad. CIRCA. Ot E!t vE2 oe 1 h o. 0 o. N.w.M. o do y Y) R ate: - rd - , 4 OJC ra r propas4&4- 3badreom res ;denec —. x o1 � �.or►.6C«.a�iGh Se Gl�antblr ° so . 9v ��ds 8t �c/in „(�on�e •� .CotL /, GS�f � . iq �.3Q0/ - 73 / S Pie Abe . �1 lJY�/7 EL s/, See.. /6, T.19,Y., � /tncJcod C' ,..7/. Q /f'u,7, T . o•{'S�o�tng�e,N wee E/e • - �. _ knee Gne <rt� �oreo. /;ne�� c, w 2 lr��«srty 'Iy 14:eJ ba8- 785 -5330 PAGE 01 INDUSTRY, LABOR & HUMAN RELATIONS 241 ILKR es Amesdl: State of Wisconsin l Department of Industry, Labor and Human Relations MF97Y b BUILDINGS DIVISION 2o1 E. Washington Avenue APPLICATION FOR THE USE OF AN AT -GRADE SYSTEM P ' w iso 7 Ntadnon, Wixdmin 53707 (608) 267 -5119 Location: TownshtpinaankipaliyK do) 1 f4d61 5ectlen4 T2fN PA ttQ w S p rifl!? '_ . S t . CrO;x Streot Address: Subdivisi County: xxx ,�1 y. �p�., d,,,� es w. Landowners Name: Mall Ing Ad ess: x'Zy:n &1 �/ S�, c,4 --f G �enuJGL�f C:EyI n � , � 1, the undersigned, make application for an &"rode onsite sewage treatment system on the above described premises. If approval is granted, l agree to have the system constructed in conformance with the plans and specifications approved by the Department of industry. Labor and Human Relations (DILHR). I further understand that an at -grade system is considered an experimental onsite sewage system, and as such, will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit county officials charged with administering county sanitary ordinances and DILHR employes, or other authorized persons such as the system designer, to have access to the above described Premises at any reasonable time for the purpose of inspecting the construction, or monitoring the system, I agree to contact DILHR or county officials to arrange the time and date to begin construction of the system after 1 obtain a sanitary permit. I agree to pay the cost of monitoring wells required by DILHR for the purpose of measuring the wastewater treatment performance of this at -grade system, I understand that this application does not permit me or my contractor to begin construction. (If the system is approved, DILHR will send .the applicant a letter of approval, which authorizes construction of the system after all necessary perm"K$hove been obtained.) I agree to give noticeto any subsequent buyer that an application for an at -grade system has been made, and if installed, that the premises are'served by an at -grade system. I further agree to give the buyer a copy of this application. Signature o App +cant etc {valid only If notained) STATE OF WISCONSIN � ribed and sworn to before me this COUNTY OF Sk - � ' l'0 iX (e 4 PU m, I N te of tsc sIn �• My Commission Expl►es• SBD-87Ni6 (N, oW90) Regiater. February, 1994, No. 458 _ Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 TDD M (608) 264-8777 isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 08, 1999 CUST ID No.663739 ATTN.• Rod Eslinger ZONING OFFICE ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY 340 PAULSON LAKE LANE 1101 CARMICHAEL RD OSCEOLA WI 54020 : HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 11/08/2001 Transaction o. 25297 r Site ID No. 182 SITE: 'S >" ' Hc)tx 1 Please refer to both identification numbers, Site ID: 182762 CUNT) `' /' above, in all correspondence with the agency. ST CROIX County, Town of SPRINfiiFIELFNING OFFICE NW1 /4, NEIA, S16, T29N, R15W KEVIN BONTE proposed residence FOR: Description: New 3BR ATG Object Type: POWT System Regulated Object ID No.: 496972 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At -Grade Soil Absorption System Manual(Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwater of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. I A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. ACE SOIL & SITE EVALUATIONS Page 2 11/8/99 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/15/1999 FEE REQUIRED $ 180.00 \ FEE RECEIVED $ 180.00 ennis R. Sorenson BALANCE DUE $ 0.00 Wastewater Specialist (608) 785 -9336 dsorenson @commerce.state.wi.us WiSMART code: 7633' RESIDENTIAL AT -GRADE DESIGN Pressurized - Level Site INDEX AND TITLE SHEET Project Kevin Bonte 3 bedroom residential At -Grade system Owner Kevin Bonte Address 731 Syme Ave. Glenwood City, WI 54013 Legal Description NW1 /4NE1 /4, S16,T.29N.,R1fW. Township Springfield County St. Croix Subdivision Name Proposed CSM Lot No. Parcel ID Number Part Of 034- 1036- 40-000 Plan Transaction Number Index sheet Page 1 At -grade calculations Page 2 RECEIVED At -grade drawings Page 3 Pressure dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 0 ( i 51999 Site plan Page 6 Attached: Soil Evaluation Report Page AFL gLDGS DIV. Designer Mike MCDonell License Number 225036 Signature &.c:,dt 2$ ` 6, ldl Phone Number 715 - 386 -8692 Date October 10, 1999 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law. s.15.04 (1)(m)]. SBD- 10464 -E (R.MM) Page 1 of 7 FEA -08 -1999 10:45 AM A.C.E. Soil & Site Evol. 715 248 7764 P.01 ..C. ZY• Soo �r e1�'oalora�o�� Ifigreeftr A%eMae Cared &W 7wer��� Fax Transmission To: Fax #: �O$ From: Tim Thomadsm A.C. Soil gitc E`tahAtkns Fax #: (77�) 248 7764 Wages 1udma raver -met: If this report is incomplete or illegible, please contact Tim Thompson at telephone #(715) 248-7767. o CV/ .�-. 07 FEB 708 -1999 10:46 AM A.G.E. Soil & Site Eval. 715 248 7764 P.03 PRESSURIZED AT -GRADE DESIGN At grude Cafculaoons • Level sits Complete information in red framed boxes so necessary. 1000 gpd maximum. Siting and site data entry. Inch ounds MOW P Residential or commercial r (r or c) Wastewater flow rate gpd 1703.3 Lpd Depth to limiting factor in 111.8 cm In situ soil infiltration rate 0.6 gpd/ft` 24.4 UW Linear Ding rate gpd/ft 74.4 Lpd/m Contour elevation below lateral 30.40 m Slope 96 Pressure distribution data entry. 0.125, 0.155. 0.1 Center or end conned jin ' D' C) Hole diameter 0.219.02 or Pump tank elevation 0 %W Lateral spacing ft Live o ror einow �N. Forcemain length Estimated hole space R ,,oc.ls,,.l c.Iwl.�en. Forcemain diameter m Minimum dose is y 5.0 times lat. void Vol. Foroealn actual I.D. System solutio ns. Absorption cell Inch ounds Metric PRI'vA E ct,; WAGE SYSTEM Estimated daily wastewater flow 450.0 gpd 1703.3 Lpd Design load rate & area 0.6 9PW 750.0 ft 69.68 m` Minimum basal absorption area required 750.0 ft 69.68 m Actual linear loading rate 3.75 gpd/ft 46.5 ifr '� Proposed effective absorption width (A) �ft 1\9 ' a'iS10i Of SAsl:TY A10 86i� INGS Maximum effective width permitted ft 3.Q5 Aggregate width Including support (A) F 6.25 ft 1. Aggregate length (g) 120.00 ft 36.58 m :ALE CORRESPONDENCE Supporting components Perimeter fill beyond aggregate (D) 5.00 ft 1.52 m HOLE DIAMETER Total at -grade width (W) 16.25 ft 4.85 m CONVERSIONS Total at -grade length (L) El 30.00 ft 38.62 m 1/0 =0125 5132 = 0.15e 3110 R 0.169 Observation pipe spacing 1/6 8 20.0 ft 6110 m 7132= 0 Observation pipe spacing 1/2 B 60.0 ft 18.28 m 9132 U = 0 = 0.261 5116 = 0.313 Minimum topsoil cover depth P : ] 12qO In 115 2 cm Minimum soil cover at center in 30 .5 cm Project: Kevin Borne 3 bedroom residential At - Grade system Transaction Number: Page 2 of 7 FEB --08 -1999 10:47 AM A.G.E. Soil & Site Eval. 715 248 7764 P,04 AT -GRADE PLAN VIEW FT 1(8 0 observation pipe; (3 ryplcc �-- Cap Typical observation pipe. W ] A Ancpred securely. 129—'1 r ( 182 mm) t L F Lateral(a) oentered over "A" and "B" dimenelon. A 6.25 ft 1.81 m = Total aggregate cell A x 8 B 120.00 ft 36.58 m D 5.00 ft 1.52 m = Plowed area L x W L 130,00 ft 39.82 m W 1615 ft 4.95 m AT -GRADE CROSS SECTION Finished 101 - ft Svnthetic fabric cover grade 30 -96 m Obs. pipes at aggregate toes Lateral and center. invert 100,25 ft elev. 30.5 m 0 % Slope Surface grade 99.75 ft A D and system 30.40 m elevation = 12 in. 30.5 cart i Plowed layer ® ( ) topsoil and subsoil below L x W over aggregae and tapered to toes. - 6 in. (15 - ctn) aggregate below pipe(s), and 2 in, (5 cm) above pipe. 4 . e .;�!YAGE SYSTEM Designer notes: IV w I -- -- LO�=�gESPON Project: Kevin Bonte 3 bedroom residential At -Grade systern Transaction Number. Page 3 of i FEB -08 -1999 10:47 AM A.G.E. Soil & Site Eval. 715 248 7764 P.05 PRESSURE DISTRIBUTION CALCULATIONS Lateral speclflcetfons Inchipgunda Metric F Number laterals Center connection choose 2 or 4 laterals. Hole spacino (X) 36 In 91.4 cm Holestlalteral 20 holes Lateral length (P) 58.50 ft 17.83 m Hole diameter 0.2 - 6.4 mm Let. dls. rate 30 g 1.5 Us Sys. o& rats 46.60 9 2.9 Us Lateral diameter Peas dletttets oriels+ opft oadpn r hole. Designer must 1 in (25 mm) T' one choice 1 1/4 in (32 mm) Place X in red from the options 112 In (40 mm) box of chosen provid9d. 2 In (50 mm) x x diameter. 3 In (75 nun) x Manifold diameter Pipe dlsr+eeter DeslF options 0esl9n choke Designer must 1 In (25 mm) 'X' one choice 1 114 In (32 mm) None required. fbm the options 112 In (40 mm) No choice necessary_ p ro v ided. 2 In (59 mm) 3 in (75 mm) 4 In (100 MM) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking In one of the drawings at right and dragging the diagram Into this area. Do not press delete when lateral diagrams are In use. t P , I end cap .. _ Ir x — i�Es12 W241 halals 6 f«w main Of PVC Soh 10 Lest hole drilled nest to end cap (per COMM Table 44.30.51 Holes dined an t he bottom of"towel. +9wpil t�aoe4 • pMmanMt etr0 marker � SySTEM Inch-pounds Metric 4 Lateral connection point center. Lateral length (P) '8.50 ft 1 m Lateral spacing (3) 0.00 ft u Hole spacing (X) 36 in 91.40 Hole diameter in ;8.4 Mm Lateral diameter M S ¢.fs;y� Fomemain diameter 2.00 in .50 mrn > NCE f Project: Kevin gorse 3 bedroom residential At -Grade system 5cE CORRESP NDL Transaction Number. Pee 4 of 9 FEB -98 -1999 10:48 AM A.C.E. Soil & Site Eval. 715 248 7764 P.06 TDH and Pump Tank Drawing Total dynamic head Operational head 2.50 ft 0.76 m Vertical kin 7.58 ft 2.31 m Are Ww* the teighest point in the ss Friction lo 2110 ft 0.64'm syewn? Yer "r hers x Total dynamic head 1218 it 3.71 m if nos whet Is the htgtwt elevation Ut) Dose Volume downstnen of ptmtp7 Lateral void volume 20A gad 77.2 L Minimum doge 112.5 gall 425.9 L draln n x Yee Drain back 10.5981 39.7 L W*7 (x ww) No Dew volume 123.0 gal 465.6 L Typical Pump Chamber Layout In combination with state approved treatment tank_ Tank con*uctlon as per Comm 83.20(3) WAC. savrowW manhole cow with weather proof y.... warning label and locking dmte e grade levels junction box grade levels electric as per NEC 300 and elDerrtate : ' �E--- outlet 4" vent PIPe Comm 15-28 WAC location IF (46 cm , wMR of pwry 0 k--7 < � nt ly chonVw or combination tank g ProOft 114" A 11-t i� alarm on pump on B pump 92.87 ft hole - 0 Off elev. 28.25 m D umbra ebwe t shwa nnleW, grade 91.50 ri Pump lards elewitla+ s " (75 mm) of bedding under tents L7 Im 9ottorr+ of tank Tank manufacturer WW 'C oncrete 1,0001 a . Com na on Pump tank capacity --- fl.921 0a lAn Pump tank volume Z gal Inches Gallons Pump manufacturer oe er A 27.5 325.4 Pump model number y B 2.0 23.6 d C 10.4 123.0 Alarm manufacturer eve rrn i5 D 11.0 130.0 Alarm model number JDLV Project: Kevin Bonte 3 bedroom residential At -Grade system Transaction Number: Page 6 of f HEAD/CAPACITY CURVE M . EFFLUENT and DEWATERING WARNING: Model 10514185 should not be subjected to less than 30 feet TON. TOTAL DYNAMIC HEADlCAPACITY PER MINUTE 1341 JtP�i_ '1 1 + - tawu/ a1w1 1 1 R ... wale qljq!!.L lowuo tw ill n. 41. a41 4w G.1, ton. GM. u. Ga. us GM. 4Ls G4t.�104 Wl .104 a+ W% G0. w. 40. LM. CO. lh G41. u.. 641 L&L 4141 14 7 1.13 10.1 a 11 in 43 103 11 N3 N 311 M 1w 1N 401 11 331 11 371 w no Iff s4r 111 a► 40 1 42 w - JAI 113 so. a _if U W 11 331 t1 no w 11+ 7a 111 a 3N o+ . 13t >♦ � u1 a1 ill ill 45 ::111 13 !l. U o.f_ +s F It if U ' - ilj 11 P4 40 ,;pl_ _w _JI? w U4 �4s. _Ur of 4f .. » _ 6.19 23 1 1 41 1t N as 134 11 114 as -a" w of w 37► _ fl 344 1N al 140 US 4$ 40 as 1,63 _ '— 1 31 a ; 111 74 a". at 111 w 131 14 229 1 128 Jw 113 . 113 is a iu w 1 1 01 .140. IS .»0' w 331 N 30 IS 114. 111 .414 117 491 •44 40 1Lw 31 410 N 111> 40 .7n- It 100 rf a3 to no 111 Dt 114 ..411•• I "Of 38 31 a 31 , 134 0i ut w 310 w n4 1 0 J41 100 Ih.: if ttt 00 /oaf - _ r 11 ' it . 43 N1 36 •111 w 111* n 3w' is ;; 41 .:Ito 12U "" 1 0 1134 — » ' to w :. 11 .0 All $1 1a to '311;. 41 sd 35 191 40 1411 .. 14 . 41 710 n tw 54 101 to iw:. 11 - Io :u3 _ u ii+ 1 1 n 14 .�{ 71 . tt.. a 41t; 34 .... 111 lzao 1107 in *44 Untviw: 31.4 at war a w' it w N' /T m +1f or lit 100 30 95 90 186. Z8 4186 t 85 � 165. 24 4185 ._ 75— 0 22---- f Z0 vi 18 Z - 4163 189, 1 55 - 4189 -- -- tH 50 14 12 40 140. 188, 35 4140 — — 4188 'I's %, 10 30 - -- 137. N 165. — fl 25 139 4185 6 20 — _ 10 2 5 43 48 141. 57,59 4181 0 U -S. GALLONS 10 201 70 80 (9p 100 t 1 U 120 LITERS ll 0 O 140 15 1 Gq I -- . - i—� -- 1 •- .. ---{- 80 160 240 320 400 480 560 540 0 FLOW PER MINUTE A /gvE2on e1 PRIVATE SEWAGE SYSTEM Conditionally K4 r1 s� A Flj ROV ®1V1S10N 01 SAFITY ANN 11110, � � P�oPo �tA( SEE CGRRESryCj+NLE — N( E 0 98.01/ a or 4 - Z � but(d;n Sewu' �ro � �� a �Isswrt�¢ /ed`� = icy a� \\ ■ � ,,oran /eoa bo.l1., Comb." atiorh �� Sc�eEic/Punc�o CAAjk4fr• 0 \\ O wn er : �opc�S 8l 2935G'o, Ad. E' syot3 edin 6onie /-06 /aF/�ro�r3ed e.5rif, y3l Byrne 4oe 11t. A See. /6, T. 29it, syo /3 , J6. drolx L�, e .x l . rtC• Na:l i rt E /►n ��ec E /eIA I �.(oo� 7 Wrs000sin Department of commerce SOIL AND SITE EVALUATION Page 1 _ of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &site Ev a lua tions Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must Coun ty include, but not limited to vertical and horizontal reference point (BM), direction and _ St. Croix n rcel I. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. PaD.# APPLICANT INFORMATION - Please print all Information. __ part of 034- 1036 - 40-000 Personal Information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 ( ) (m)). Reviewed By Date Property Owner Property Location Villman Farms, Inc., K. Bonte, Buyer Go vt. Lot NW 1/ NE 1/4 S 16 T 29 N,R 15 W Lot # Block # Sliba. Name or Property Owner's Mailing Address E — J � •i 2935 County Road E 1 Proposed CS City State Zip Code PhoneNumber ❑ City ❑ Village ® Town Nearest Road Glenwood City WI 54013 715 2654958 Springfield County Hwy. E ® New Construction Use: ❑ Residential / Number of bedrooms 3 [ to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd /ft .6 trench, gpd/ft Absorption area required 900 bed, 11 750 trench, ft Maximum design loading rate •5 bed, gpd/W .6 trench, gpd/fF Recommended infiltration surface elevation(s) 99.75 It (as referred to site plan benchmark) Additional design / site considerations Parent material Outwash s & gr. Flood plain elevation, if applica ble NA ft S- - Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsultable for system ❑ S U ® S u El ®u M S❑ u ❑ s ®u ❑ S® u SOIL DESC RIPTION REPORT Bi Horizon Consistence Depth Dominant Color Mottles Structure GPD/ft _ in Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench 1 1 0 -10 10yr3 /2 None A 2fsbk mvfr as 2f 0.5 i 0.6 2 10 -20 1Oyr5 /4 None sl 2msbk mvfr cs 1f 0.5 0.6 Ground 3 20 -31 1Oyr4 /4 None sl 2msbk mfr cw - 0.5 0.6 elev 99.75 ft 4 31-44 10yr5 /6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 44 -52 10yr4 /4 f2dl0yr5 /6 sicl Om mfr - - N.P. 0.2 limiting factor 4V Rig: Horizon #4 contains 15% cobles and stones. A, 2 1 0 -9 10yr3 /2 None st 2fsb mvfr as 2f 0.5 i 0.6 2 9 -19 1Oyr5/4 None sl 2msbk mvfr cs if 0.5 0.6 Ground 3 19 -30 1Oy None sl 2msbk mfr cw - 0.5 0.6 elev 99.75 ft 4 30 -50 1 Oyr5 /6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 50 -56 1Oyr4 /4 f2d10yr /6 sicl Om mfr - - N.P. 0.2 limiting i factor — -- _ 50' Remarks: Horizon #4 contains 15° cobles an stones. CST Name (Please Print) Sign re: Telephone No. James K. Thompson 2 6 -- 715- 248 -7767 Address A.C.E. Soil & Site Evacuations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 9/20/99 3602 1108 pROpEkryOWNER: yillman Farms, Inc. K. t3gntS Buy er SOIL DESCRIPTION REPORT Page ? _ of __3 -_ pARCEL LDA pert of 034 - 1036.40-000 A.C.E. Soil & Site Evaluations I I PD�tZ Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0 -9 1 3/2 None sl 2fsbk mvf a s 2f 0.5 0.6 1 3 °}'r — — — -- — 2 9 -18 10 Y r5/4 None sl 2msbk mvfr cs if 0.5 0.6 _ _ Ground elev 3 18 -24 10yr4 /4 None sl 2msbk mfr cw - 0.5 0.6 99.67 ft 4 24 -45 10yr5/ None gr. s Osg ml — cw 0.7 0.8 Depth to 5 45 -58 1Oy /4 f2 dIOyr 5 /6 sicl Om mfr - - N.P. 0.2 limiting- -- - -- - — - - -- - -- - - - -- - -- - — -- - -- -- - - -- factor 45' - -- - - -- - - - Remarks: Horizon #4 contains 15 % cobles and stones Ground elev Depthto --- - - - - -- - ---- - - - - -- - - - -- - - - - - -- -- limiting factor Remarks: - - - -- -- - - - - -- - - - -- — - -- Ground - - -- - - -- -- - - - - -_ elev Depth to limiting factor Remarks: ---—-- - - - - -- - -- — - -- Ground -- -- - - - -- - -- - -- - — elev Depth to — — - - - - -- - ----- - - - - -- - - - -- -- - - - - -- limiting factor Remarks: -- — ■ �;/ obser�afi�w; ♦ �IsvK�;or7 � IV U �o 97 4 b h 98.os/� h o. p ro posed ,� dweN,h� a� a o —k ■ 0 �� ©coney: f/'l /man Far, n 5,1 - nom. LJco� 5 g ■ 2 9.35 do, ,Por. F Glen e�G+x� e, 4 cJ /. 15 Sec. le-, 7 91f, s�. evoix do "Y. U . B e el. P&ron : Na;( i rl E /.n eee Vey SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 '\ Visconsin Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary At -Grade System Onsite Verification Report 7 Are the soil and landscape features accuratel reported on the Soil and Site Evaluation Form �� ✓// yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? M 0) - d ilr' Ca A. on X-A qlA c --f County Official 'gnature Date mu.) '/ N ' S.2c (o 72 -12t S Nj 618g- eIJ 41&40. Property Location Landowners Name 2,9 3'S' C 61 -e-vwi clod Cc (/ j � i3 1 SBD- 10513(N.11196) - Wisconsin Departmer►tofCommerce SOIL AND SITE M-0 1._ Page 1 of 3 _Division of Safety and Buildings in accord with Comm OW., T AT I tdm. Code r / ,.:< - +:.f .boil & Site Evaluations Attach complete site plan on paper not less than 8'/z x 11 inches in size. P. include, but not limited to: vertical and horizontal reference point (13M), di / Cobniy percent slope, scale a dimensions, north arrm, and localim and distanc44iari6arest road. 1;" St. Croix [Pall I.D.# APPLICANT INFORMATION - please print all informat�d► � B past of 034 10364Date Personal information you provide may be used for secondary purposes (Privacy Law s. 45.04 (1) (nVj) „ Y � ' y 1� W i T �.�. / Property Owner • PropeiYUDr� n Villman Farms, Inc., K. Bonte, Buy ovt. Lot ) '�'/Gt� NW 114` TE 1/4 S 16 T 29 N,R 15 W Property Owners Mailing Address Lot # Block # Su . Name or CSM# 2935 County Road E 1 '� Proposed CSM City State Zip Code PhoneNumber City Village ZTown Nearest Road Glenwood City WI 54013 715- 2654958 Springfield County Hwy. E Z New Construction Use: Z Residential / Number of bedrooms 3 ❑Addition to existing building ❑ Replacement [] Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/fF .6 trench, gpd/ftz Absorption area required 900 bed, W 750 trench, ft Maximum design loading rate .5 bed, gpd/ftz .6 Bch, gpd Recommended infiltration surface elevation(s) 99.75' it (as referred to site plan benchmark) Additional design / site consideration Parent material Outwash s & gr. Flood Dlain elevation, if appli able NA tt S for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable f o r system ❑ S ® u z S u ❑ s ® u ❑ s ❑ u E I S ®U ❑ S® u SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Structure Consistence GPD/ftz in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench 1 1 0 -10 10yr3 /2 None sl 2fsbk mvfr as 2f 0.5 0.6 2 10 -20 10yr5/4 None sl 2msbk mvfr cs If 0.5 0.6 Ground 3 20 -31 1Oyr4/4 None sl 2msbk m fr cw - 0.5 0.6 elev 99.75'ft 4 31 -44 10yr5/6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 44- 2 10yr4/4 f2dl Oyr5 /6 sicl Om mfr - - N.P. 0.2 limiting factor Horizon #4 contains 15% cobles and stones. 2 1 0 -9 10yr3/2 None sl 2fsbk mvfr as 2f 0.5 0.6 2 9 -19 10yr5 /4 None sl 2msbk mvfr cs if 0.5 0.6 Ground 3 19 -30 10yr4/4 None sl 2msbk m cw - 0.5 0.6 elev 99.79' ft 4 30 -50 1 Oyr5 /6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 50 -56 10yr4/4 f2dlOyr5 /6 sicl Om mfr - - N.P. 0.2 limiting factor 50 ;� Remarks: Horizon #4 contains 15° cobles an stones. CST Name (Please Print) Sign re: Telephone No. James K Thompson -- 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wl 54020 9/20/99 3602 1108 PROPERTYOWNM Vll—n Farms, Inc., K. same, Buyer SOIL DESCRIPTION REPORT »os Page 2 of 3 PARCEL M cart of 0341036- 40-000 AC.E. Soil & Site Evaluations Horizon Wth Dominant Color Mottles Texture Structure sistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 0 -9 10yr3 /2 None sl 2fsbk mvfr as 2f 0.5 0.6 2 9 -18 10yr5 /4 None s1 2msbk mvfr cs If 0.5 i 0.6 Ground 1 d elev 3 18 -24 10yr4 /4 None sl 2msbk mfr cw - 0.5 j 0.6 99.62 ft 4 24 -45 10yr5/6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 45 -58 1 0yr4/ 4 f2d10yr5 / 6 sicl Om mfr - - N.P. 0.2 limiting - -- factor Remarks: Horizon #4 contain 15 cobles and stones. —_ Ground elev Depth to limiting factor Remarks: Ground elev i Depth to limiting _ factor Remarks: Ground elev Depth to limiting factor Remarks: I .. 6 W13 ■ �;/ c�bserda�i�; ♦ gleA'i ;Or7 0 h h o � Bs Propmed ■ 3 bedrti+a+�, 0 7- o� 'TO,oc,�' � r� �✓� 83 0 f/,• / /man �ai�.+t5, T-nc. ■ 29.35 G'o. �Po►. E ��ds 8 glen c040d C.'4 w/. -TV r � E /m» .'el. E/eO G� 9 4A Fence 6,M _6ID6 4 Leo. /;ne� SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue *i sconsin P.O. Box 7969 Wi Madison, sconsin 53707 Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary At -Grade System onsite Verification Report Are the soil and landscape features accuratel reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? IMo') -, d i& �L" zj 26%�q 9— County Official QLgnature Date 2q ✓� 8Rc 't eA - E�— Property Location y► I Imaps t &--Lr� I K C. Landowners Name 2-9 C P. 50 -r � 6"w ood C( (/J l 0 l3 1 I SBD- 10513(N.11/96) I j►vlrtsoonsin Department ofCommerce SOIL AND SITE EVALUATION Page I of 3 * of'and Buildings in accord with Comm 83.05, Wis. Adm. Code N \ a .E. soil &site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in sine. Plant must County Include, but not limited to: vertical and holUontal reference point (BR, direction and St. Croix percent slope, scale or dkriernsions, rarth arrow, and location and distance to nearest road. 1 Parcel I.D.# APPLICANT INFORMATION - Please print all Information. part of 034 - 1036 -40 -000 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Villman Farms, Inc., K. Bonte, Buyer Govt Lot NW 1/4 NE 1/4 S 16 T 29 N,R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2935 County Road E 1 Proposed CSM City State Zip Code PhoneNumber E] City [] Village ® Town Nearest Road Glenwood City WI 54013 715- 265 -4958 Springfield County Hwy. E ® New Construction Use. ® Residential / Number of bedrooms 3 ❑Addition to existing building Replacement Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpdKf .6 trench, gpd/ft Absorption area required 900 bed, ftZ 750 trench, ft' Maximum design loading rate .5 bed, gpdtr .6 trench, gpd/ftz Recommended inthtion surface elevation(s) 99.75' ft (as referred to site plan benchmark) Additional design / site consideration Parent material outwash s & gr. Flood plain elevation, if app NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system El S M U M S❑ U ❑ S® U ® S❑ U ❑ S ®U 0S E U SOIL DESCRIPTION REPORT Depth Dominant Color Consisten Mottles Structure GPD1ft g Horizon in. Munsell Qu. Sz. Cont. Color Texture Boundary Roots ;Trench 1 1 0 -10 10yr3/2 None sl 2fsbk mvfr as 2f 0.5 0.6 2 10 -20 10yr5/4 None sl 2msbk m vfr cs if 0.5 0.6 Ground 3 20 -31 10yr4/4 None sl 2msbk mfr cw - 0.5 0.6 elev 99.75' ft 4 31-44 1Oyr516 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 44 -52 10yr4 /4 f2dlOyr5 /6 sicl Om mfr - - N.P. 0.2 limiting 1160101' 44' Remarks: Horizon #4 contains 15% nobles and stones. J 2 1 0 -9 10yr3/2 None sl 2fsbk mvfr as 2f 0.5 0.6 2 9 -19 10yr5/4 None sl 2msbk mvfr cs If 0.5 0.6 Ground 3 19 -30 1Oyr4/4 None sl 2msbk mfr cw - 0.5 0.6 elev 99.79 It 4 30 -50 1 Oyr5 16 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 50 -56 10yr4 /4 fZdlOyr5 /6 sicl Om mfr - - N.P. 0.2 limiting factor 50 Remarks: Horizon #4 contains 15 nobles an stones. CST Name (Please Print) Sign re: Telephone No. James K Thompson 5 -- - 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref# 340 Paulson Lake Lane, Osceola, WI 54020 9120/99 3602 1108 PERlF1f• pWNM yatmw > arm, Im , x. souse. Buyer SOIL DESCRIPTION REPORT 3 ARCEL LD., on of 034 - 1036-40-000 AC.E Soil & Site EvGPD/atuat a Horizon Depth Dominant Color Mottles Structure sistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Bed Trench 3 1 0 -9 1Oyr3/2 None A 2fsbk mvfr as 2f 0.5 0.6 2 9 -18 10yr5/4 None s1 2msbk mvfr cs If 0.5 0.6 Ground elev 3 18 -24 1Oyr4/4 None A 2msbk mfr cw - 0.5 0.6 99.67 ft 4 24 -45 10yr5/6 None gr. s Osg ml cw - 0.7 0.8 Depth to 5 45 -58 1Oyr4 /4 t2d10yr5 /6 sicl Om mfr - - N.P. 0.2 limiting factor 45' Remarks: Horizon #4 contains 15% cobles and stones. Ground elev Depth to limiting factor Remarks: Ground elev -F Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: W13 �• u jo't ♦ �ltv�'t�;or� cl c3 b h d i o � �+on -► n e! /� e� v1 li e . - rd - pol e rc ? Ww ae %d`= /�vca" B3 0 5 Owu� e� f/:l /man Fa��+r5, T � s $1 • 29.36 do, glen c,9q�/ C. cJ/ syot3 T . oir,S Prfnq�e.E/ drou A M. geml re: Aa: I i o E /.n /'el. Ezev r PP O. rei nce G,w 61.o6 Qrojo. /;,),e) SIT 1 .Q .i• q Z ilk k � • � � ' y �3 � �� � ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /1 [/ %,-? z Mailing Address 7_ I Y P ,, e ' tv e - G (e/� uJCCb/ (�. &.) /, S�O� Property Address �O ryW E (Verification required from Planning Department for new construction) City/State Parcel Identification Number All O{A zfl LEGAL DESCRIPTION Property Location d &) I /4, II E %4, Sec. �n . T : N -RltW, Town of Subdivision , Lot # Certified Survey Map # >9e & / 77 8 , Volume Page # 3 Warranty Deed # , Volume Z Page # 3 1 6 Spec house ❑ yes no Lot lines identifiable 2 ❑ no SYSTEM MAIl*ITENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ly'0� 6t rr &— 1 _ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ,&'- a /0 /30/3 SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed s FILED � FEB 0 1 2000 ► $ 3 61`7'738 � S't.Croixco. L � CE RTIFIED SURVEY MAP LOCATED IN THE NW 1!4 OF THE NE 114 AND IN THE NE 1 i4 OF THE NE 1 i4, ALL IN SECTION 16, T. 29N. , R. 15W. , TOWN OF SPRINGFIELD, ST. CRO I X COUNTY, WISCONSIN ;vmz o i •� O I l .�O r I0 1 ' N w NWIIV X20 co co M mph -4 rn I mom I. Q 0 _a M O W '9p\ CN I nRo t A UD to V3 `� m v m G7 �\ ! 4� �z m r ° rn 33 i rZ ,1 �*fv 1+ ro�i 2 I :nI A .` ,z - � w T C r _ A or Wib OOW ( I x• 4° Z+ g 4 O 02 \ �A � :C?W I I m�-cm mm o - `� OD D - N =_ : � 45 45'f ^r � ` co �' �` �•.c� m •` �` ;° -nc: 100' I to ::0 vni � :r w Om azo mie n, N C*) co — z : C p la �( W H `•I m vx-� 'O ` I 1� �u'wc�O 1' 0I C 70 i .�- �°,j T' r -+m C (� � : n p - y V 1 c �Ol co y n rh T3 C 1zn oP I rn I gip$ ;D my 8"I a QD CD $ _ _ ti C°; NW -NE _ m -n n (+ + °' ►v w ~ r `N co Q 44 NE -NE O ° w 75' SETBACK FROM m i r- I N c �a m m ORDINARY HIGH y; y �, WATER MARK 1 x 1 �? m: $ I I to 2 0 . I /02 w�'n C Q O 0 \ :)D n NA� Z N A, gq N v a D Oj f r: (0 :x CA n 100 o,.� ��' o 265.64' C - iv o v -+ S00 23' 40" E 9z n n x - p c m m UNPLATTED LANDS 355. 64' �I y cn r y o � m I O v o rn-14 _o I n zrn aNio - u'�omo W m co mm� 3 • -� -, APPROVED �� OD � O m ST. CROIX COUNTY O z z Planning Zoning aru9 Parks Cnn cp O O F 0 12000 o a x If not recorded within 30 day (,, 1 OF 2 approval date approval shall be null and void Vol. 14 Page 3801 1 � y >i IWAJA IY.I�/�Y1.' _ � u sv.x 's, k3au 1'IaAi1f6[ e. tlp# Fe IM s z l �Y�.•IY• AM IY ! r r rr l�l R �l�� " w R �� Y tx �iatx (kaAA!! , ft t Yall" oonsi nitktlns cq veyll and wunm t0 Cirea00 1i0 dwcrlbedrasl cetera br at. Croix QRW See ofWimoonsja: Let 2 of CMrtified 3uzvey Mpr recorded in Volvos 14 of ~A ified f rvey thps oa page 3001 a Reaxdi'o Arum - V Voanoacat No- 617730 located in the !M 1/4 of the Nsaa cod Return Address 1111: 1/4 mW is • the to 1/4 of the M l /d, all in iaeiiou 16. township 20 Worth, Range 15 Nest, Town RETURN TO: ONE Of spri nvield. 70619TH STREET SOUTH HUOSON, Wt 5�W16 034- 1036 -40- 000: 034- 1036 -10 -000 Pavtd IdmWfk*im Numba (PIN) This is not homestead pm"., (is) (is not) s , Fbaceptiom to warraatitx: easements, roadway, and restrictions of record x tamed tl>_ day o¢ Villnan I c d 0 Leon R. Rings , President f AUUMNTICATIOPt ACKNOWLEDGMENT STATE OF WISCONSIN ) SL St. Croix County - Pe onalty came before um day of auttiendcated d ds day of above mined Leaas R. Ri na skid lTn.E: MEbBER STATE BAR OF WISCONSIN to me known to be the person who execad (If not. the f ilmov"X A wledged the Sass authorin�� 706.06, Wis. Stars.) ,, THIS INSTRUMENT WAS DRAMD BY r ? L u rmm -i r bdahael H. torecki At!,2 a Notary kbkic, %ft of Wisconsin gaau Claire Wisconsin - rtanixt' n is e not, state' (Slgnsttcd may be authenticated aclnowkedgedi Both are S� A rw may ,) M' „m07 L. TWrw[ 'Names of Permn siSniei in wry CVWity mug be typed or phi od below their sigmWe. WARRANTY DECD FORM r>rFORRM OF WISCONS . : Aoaiwd win ZQFwm- by Ve Inc I FOmm We Road, Cb*m 34 I wr 5 T �Nrlpn QOa J4 Cm n66sir dr7 2r P1006 G q 70d AM Ruew� 016.2161 " r 4� r x PRESSURIZED AT -GRADE DESIGN At -grade Calculations - Level Site Complete information in red framed boxes as necessary. 1000 gpd maximum. Sizing and site data entry. Inch- pounds Metric Residential or commercial r (r or c) Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 44.0 in 111.8 cm In situ soil infiltration rate 0.6 gpd/ft` 24.4 L/m Linear loading rate 6.0 gpd/ft 74.4 Lpd/m Contour elevation below lateral 99.75 ft 30.40 m Slope 0.0 % Pressure distribution data entry. 0.125, 0.158, 0.188, Center or end connect c (core) Hole diameter 0.250 0.219, 0.25, 0.281, or Pump tank elevation 0 ft iae 0.313 inch only. M. Lateral spacing 0.00 ft use 0 for single laterals. Forcemain length 120.0 ft-- Estimated hole space 3.00 ft Not a final calculation. Forcemain diameter - in Minimum dose is > 5.0 times lat. void vol. Forcemain actual I.D. 2.067 in System solutions. Absorption cell In unds Metric Estimated daily wastewater flow 450.0 gpd 1703.3 Lpd - Design load rate & area 0.6 gild* 750.0 ft` 69.68 m' Minimum basal absorption area required 750.0 ft 69.68 m Actual linear loading rate 3.75 gpd/ft 46.5 Lpd /m Proposed effective absorption width (A) 1 6.25 ft 1.91 m Maximum effective width permitted 10.00 ft 3.051m Aggregate width including support (A) 1 6.25 ft 1 1.911m Aggregate length (B) r 1 ft 36.58 m Supporting components Perimeter fill beyond aggregate (D) 5.00 ft 1.52 m HOLE DIAMETER Total at W 16.25 ft 4.95 m CONVERSIONS -g rade width ( ) 118 =0.125 Total at -grade length (L) 130.00 ft 39.62 m 5132 = 0.156 3116 = 0.188 Observation pipe spacing 1/6 B F 20.0 ft I 6.101m 7/32 = 0219 Observation pipe spacing 1/2 B 60.0 ft 18.29 m 9/332 2 = 0.25 = 0.281 5116 = 0.313 Minimum topsoil cover depth 1 6.0 in 15.2 cm Minimum soil cover at center 12.0 in 30.5 cm Project: Kevin Bonte 3 bedroom residential At -Grade system Transaction Number: 252974 Page 2 of 8 J-/ Total dynamic head TDH and Pump Tank Drawing � , � v ✓ '�'�- Operational head 2.50 ft 0.76 m ' n Vertical lift 7.58 ft 2.31 m Are laterals the highest point in the d� Friction loss 4.20 ft 1.28 m system Yes "x' here. - -- Total dynamic head 14.28 ft 4.35 m If no, what is the highest elevation (ft) Dose Volume downstream of pump? Lateral void volume 20.4 gal 77.2 L Minimum dose 112.5 al 425.9 L Does back to x Yes g drain back to Drain back 20.9 gal 79.1 L tank? (x one) No Dose volume 133.4 gal 505.0 L i Typical Pump Chamber Layout In combination wi* state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning labs and locking device grade levels junction box grade levels disconnect electric as per NEC 300 and mate 4 " ` Comm 16.28 WAC 18" (46 cm ) min. approved wall of pump �'- outlet joint x chamber or I combination tank A Provide 1I4 alarm on siphon device as necessary pump on B T Grade levels pump 92.67 ft C W - pump tank manhole = 4" (10 cm) Off elev. 28.25 m minumum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 91.50 It Purrs tank elevation 3 " (75 mm) of bedding under tank 27.89 1 m Bottom of tank Tank manufacturer Wieser Concrete 1,000/600 gal. Com 'i Pump tank capacity 11.82 gal/in Pump tank volume 602 gal Inches Gallons Pump manufacturer JZoeller -+ o A 26.6 315.0 Pump model number 198 B 2.0 23.6 a) C 11.3 133.4 Alarm manufacturer LevelArm o D 11.0 130.0 Alarm model number JDLV Project: Kevin Bonte 3 bedroom residential At -Grade system Transaction Number: 252974 Page 5 of 8